医疗系统与社区资源在痴呆相关行为症状管理方面的沟通差距：家庭照顾者的观点
The Communication Gap Between the Medical System and Community Resources for Dementia-Related Behavioral Symptom Management: Family Caregiver Perspectives.
作者信息
Xiong Glen L, Godwin Haley, Ziegahn Linda, Beckett Laurel A, Filshtein Teresa, Hinton Ladson
机构信息
Department of Psychiatry and Behavioral Sciences, University of California, Davis, 2230 Stockton Blvd, Sacramento, CA 95817.
Department of Psychiatry and Behavioral Sciences, University of California, Davis, Sacramento, California, USA.
出版信息
Prim Care Companion CNS Disord. 2018 Mar 15;20(2):17m02238. doi: 10.4088/PCC.17m02238.
OBJECTIVE
To examine family caregiver perspectives on cooperative communication surrounding pharmacologic and nonpharmacologic resources for the treatment of dementia-related behavioral symptoms.
METHODS
Personal narrative interviews were conducted by the primary investigator with 13 family caregivers from October 2014 to April 2015. The recorded interviews were then transcribed and coded. Models detailing the caregivers' resource utilization in regard to behavioral symptom management were produced for each participant and then summarized on the basis of recurring themes.
RESULTS
There is a significant gap in the coordination and communication between physician services and caregiver community resources to aid in the behavioral management of family members with dementia. Physicians tend to rely on pharmacologic management independent of community resources and did not seem to be integrated or involved with recommendations from community resources.
CONCLUSIONS
Better integration of caregiver resources is necessary to help caregivers in the management of dementia-related behavioral symptoms.
目的
探讨家庭照顾者对于围绕治疗痴呆相关行为症状的药物和非药物资源的合作沟通的看法。
方法
2014年10月至2015年4月，首席研究员对13名家庭照顾者进行了个人叙事访谈。随后对录音访谈进行转录和编码。为每位参与者建立了详细描述照顾者在行为症状管理方面资源利用情况的模型，然后根据反复出现的主题进行总结。
结果
在医生服务与照顾者社区资源之间，为帮助痴呆家庭成员进行行为管理的协调和沟通存在显著差距。医生倾向于独立于社区资源进行药物管理，似乎没有整合或参与社区资源的建议。
结论
更好地整合照顾者资源对于帮助照顾者管理痴呆相关行为症状是必要的。
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